Provider performance program withhold.
Group code
CO, PI or PR
Category
Other Adjustments
Risk level
High
Appealable
Yes
See the full resolution workflow for CARC 245
Members of the EDI-Code Intelligence Lab get the step-by-step rework path, appeal language, root-cause drivers, and prevention checklist for every CARC and RARC pairing, plus payer-specific quirks.
Open in EDI Lab